Organization
SHAW FAMILY DENTISTRY PLLC
Active
Other names
U Street Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
YETUNDE IBIYEMI PATRICK DDS (DENTIST/OWNER)
(202) 900-9006
Entity
Organization
Contact information
Practice address
1515 U STREET NW, SUITE A1 C1, WASHINGTON DC, DC 20009
(202) 900-9006
Mailing address
1515 U ST NW STE A1C1, WASHINGTON, DC 20009-3948
(202) 900-9006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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